R1R2

NEVER MIND, FOUND THE ANSWER.

I hope someone can help me. We perform waived CREA on iSTAT. What is the required frequency of qc? Currently, we perform on new shipment and at least every 30 days. I can't find any info on Abbott's website. I would like to drop the "at least every 30 days".

Welcome to PLT.

I feel that if you don't have a lot of experience with ficin then it can lead you down wrong paths and you waste a lot of time. Also, it tends to pick up things you don't want to see like colds, Lewis. Don't get me wrong, it definitely has its place in the BB, just not routinely. I assumed you were using ficin, I just read that you are using papain.

Sometimes strong, direct agglutinins can cause that mix field appearance in gel like anti M, colds, and rouleaux. Also, since RHIG is not a "real antibody" it may not react the same as a true antibody. Ficin in gel can give weird reactions too, IMO.

Me just being curious... but was wondering why all the additional testing after initial solid phase results?

Keep us posted

If you are AABB accredited it is one less label to keep track of.

No to separating plasma from red cells because most of our testing is automated. For manual testing - very little "jostling" of the red cell layer occurs during patient testing so specimen re-spinning is usually not required if the tech is careful. We are electronic crossmatch so the majority of additional red cell requests do not require serological crossmatches. Also, for additional requests for blood that requires serological crossmatch we do not include a repeat patient front type.

I wouldn't worry about the cost of an extra tube if it means that automation can be used to test these samples.

I think those pesky labels are a "left over" from a time before we had LIS's.

Sometimes antisera does not react the same as a patient sample. Do you have a patient example of a >e you can run against the cell in question? I would review all patient reactions with that panel cell and make sure that the cell was not used to rule out anti-e. I would report this to the manufacturer as well. I would document all of this.

You are such a bad ass!

Great news. Good luck in your new job!

we do like Liz but always wanted to change to what you are doing. There is a lot of literature out there that you could share with your pediatrician about recommended cord blood testing. Maybe you need to get your pathologist involved.

Do you have a hospital policy on emergency release blood with expectations for lab/MD/patient care area outlined? If yes, and policy is not followed I would follow up with a patient safety report for your Risk/Quality department to see. When a Code 11 is called, how often is the cooler of blood coming back unused? I ask, because we did something similar at a hospital I worked at and at least 90% came back unused. It was a lot of work for nothing.

Have seen this many times with cancer patients. They are probably immunosuppressed and not making a lot of antibodies including isoagglutinins. I would try room temp incubation first. Make sure you run an autocontrol.

We would honor the antibody and give antigen negative blood (for ever and ever) if we could not rule out according to our policy for ruling out (ie, did not achieve our p value).

No reg or requirment that I know. It just has to happen before transfusion. Some hospital policies state before it is picked up to curb wastage.

We would titer if requested by physician.

14 days for presurgical only, 3 days for inpatients regardless of transfusion history. Why does your path want to change?

With unique FINs and MRNs at each hospital it would be hard to manage this. This would be possible if you had a unique lab ID that stayed the same through all the encounters IMO.

Is there a record of a negative antibody screen before her first dose of RhIG?

Best wishes John. Don't be a stranger

I agree with David. 2 would be enough for me (even 1).